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[女性自然流产:细胞遗传学与流行病学研究]

[Spontaneous abortion in women: cytogenetic and epidemiological studies].

作者信息

Boué J, Boué A

机构信息

Centre International de l'Enfance, Laboratoire de la S.E.S.E.P., Bois de Boulogne, 75016 Paris, France.

出版信息

Rev Fr Gynecol Obstet. 1973 Nov;68(11):625-43.

Abstract

Chromosome anomalies are often found in ova expelled spontaneously. The proportion of ova affected varies with the sampling conditions. A great variety of anomalies were distinguished. The authors studied in turn : monosomies, trisomies, polyploid types double aberrations, mosaics, and structural anomalies. The frequency of the anomalies was studied in relation to the duration of the pregnancy and the duration of the development of the ovum. Among the factors studied, maternal age was correlated only with the cases of trisomy. The age of the gametes seemed to be of great importance. It was difficult to determine the effect of oral contraceptives but they did not seem to be important. In contrast, ovulation inducers were implicated. As regards to the effects of irridiation, the incidence of anomalies appeared to be increased by radiography before pregnancy and by irradiation to which the husband was exposed at his place of work. The previous obstetric history makes it possible, to a certain extent, to forecast the risk of genetic abortion and it is possible to calculate statistically that the number of anomalous embryos conceived is practically identical to the number of normal infants born.

摘要

染色体异常常在自然排出的卵子中被发现。受影响卵子的比例随采样条件而变化。已鉴别出各种各样的异常情况。作者依次研究了:单体、三体、多倍体类型、双畸变、嵌合体和结构异常。研究了异常情况的发生频率与妊娠持续时间和卵子发育时间的关系。在所研究的因素中,母亲年龄仅与三体病例相关。配子的年龄似乎非常重要。难以确定口服避孕药的影响,但它们似乎并不重要。相比之下,排卵诱导剂与之有关。至于辐射的影响,妊娠前的X光检查以及丈夫在工作场所受到的辐射似乎会增加异常情况的发生率。既往产科病史在一定程度上能够预测遗传流产的风险,并且通过统计学计算可知,受孕的异常胚胎数量实际上与出生的正常婴儿数量相同。

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